Can a pill combo outperform standard therapy for a Hard-to-Treat lung cancer?
NCT ID NCT06416410
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This phase 3 trial is investigating whether a combination of two oral drugs, JAB-21822 and JAB-3312, can work better than the current standard treatment (immunotherapy plus chemotherapy) as a first-line therapy for people with advanced non-squamous non-small cell lung cancer that has a specific KRAS G12C mutation. The study will compare how long participants live without their cancer progressing, as well as overall survival and tumor response. The trial aims to enroll about 392 adults who have not yet received systemic treatment for their advanced disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A combination of two experimental drugs, JAB-21822 and JAB-3312, taken as oral tablets, compared to a standard immunotherapy plus chemotherapy regimen.
- What this could lead to
- If successful, this combination could offer a new first-line treatment option for people with advanced KRAS G12C-mutated non-small cell lung cancer, potentially improving how long they live without the disease progressing.
- What could go wrong
- This is an early-stage comparison in a specific patient group, and the experimental combo may not prove more effective than the standard treatment. Side effects from the drug combination are also possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 392 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Aug 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * A signed written informed consent is required before performing any study-related operations * Age greater than or equal to 18 years old * Histologically or cytologically confirmed locally advanced/metastatic, unresectable non-squamous NSCLC with KRAS p. G12C mutation confirmed by the central lab * No history of systemic anticancer therapy to the local advanced/metastatic disease * Expected survival period greater than or equal to 3 months * Having at least one target lesion according to RECIST 1.1 * Eastern Cooperative Oncology Group (ECOG) ≤ 1 Exclusion Criteria: * Previous (≤2 years) or current solid tumors or hematologic tumors of other pathological types * Carry other driver gene mutations with available target therapy, or carry other KRAS mutations * Subjects with untreated central nervous system (CNS) metastases were excluded; * Uncontrolled pleural effusion, pericardial effusion, and ascites * Subjects with impaired heart function or clinically significant heart disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
37 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Anhui Province cancer hospital
NOT_YET_RECRUITINGHefei, Anhui, 230031, China
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Beijing Cancer Hospital
RECRUITINGBeijing, Beijing Municipality, 100142, China
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Beijing Chest Hospital ,Capital Medical University
RECRUITINGBeijing, Beijing Municipality, 101125, China
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Beijing Tiantan Hospital, Captal Medical University
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100070, China
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Cancer Hospital Chinese Academy Of Medical Sciences
RECRUITINGBeijing, Beijing Municipality, 100021, China
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Cancer Hospital Chinese Academy Of medical Sciences Shenzhen Center
NOT_YET_RECRUITINGShenzhen, Guangdong, 518116, China
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Cangzhou hospital of integrated TCM-WM Hebei
RECRUITINGCangzhou, Hebei, 061000, China
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Fudan University Shanghai Cancer Center
NOT_YET_RECRUITINGShanghai, Shanghai Municipality, 200032, China
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Fujian cancer Hospital
NOT_YET_RECRUITINGFuzhou, Fujian, 350014, China
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Guangxi Medical University Cancer hospital & Guangxi Cancer Institute
NOT_YET_RECRUITINGNanning, Guangxi, 530000, China
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Harbin Medical University Cancer Hospital-Mammary gland of internal
NOT_YET_RECRUITINGHaerbin, Heilongjiang, 150081, China
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Henan Cancer Hospital
NOT_YET_RECRUITINGZhengzhou, Henan, 450003, China
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Hubei cancer hospital
NOT_YET_RECRUITINGWuhan, Hubei, 430079, China
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Hunan Cancer Hospital
NOT_YET_RECRUITINGChangsha, Hunan, 410031, China
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Jiangsu province hospital
NOT_YET_RECRUITINGNanjing, Jiangsu, 210029, China
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Jilin cancer hospital
NOT_YET_RECRUITINGJilin City, Jilin, 130021, China
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Liaoning Cancer Hospital & Institute
NOT_YET_RECRUITINGShenyang, Liaoning, 110801, China
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LinYi Cancer Hospital
NOT_YET_RECRUITINGLinyi, Shandong, 276002, China
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Pecking Union Medical College Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100005, China
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Peking University Third Hospital
RECRUITINGBeijing, Beijing Municipality, 100191, China
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Shandong Cancer Hospital
RECRUITINGJinan, Shandong, 250012, China
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Shanghai Pulmonary Hospital
NOT_YET_RECRUITINGShanghai, Shanghai Municipality, 200433, China
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Shanxi province cancer hospital
NOT_YET_RECRUITINGTaiyuan, Shanxi, 030013, China
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Sichuan province cancer hospital
NOT_YET_RECRUITINGChengdu, Sichuan, 610041, China
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Taizhou Hospital Zhejiang Province
NOT_YET_RECRUITINGTaizhou, Zhejiang, 317000, China
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The First Affiliated Hosipital Of Zhengzhou University
NOT_YET_RECRUITINGZhengzhou, Henan, 450052, China
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The First Affiliated Hospital of Xi'An Jiaotong University
NOT_YET_RECRUITINGXi’an, Shanxi, 710061, China
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The First Hospital Of China Medical University
NOT_YET_RECRUITINGShenyang, Liaoning, 110001, China
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The First affiliated hospital Zhejiang university school of medicine
NOT_YET_RECRUITINGHangzhou, Zhejiang, 310003, China
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The Second Affiliated Hospital Zhejiang School of Medicine
NOT_YET_RECRUITINGHangzhou, Zhejiang, 310003, China
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The affiliated hospital of Qingdao university
NOT_YET_RECRUITINGQingdao, Shandong, 266003, China
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The first Affiliated Hospital, Sun Yat-sen University
NOT_YET_RECRUITINGGuangzhou, Guangdong, 510080, China
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Tianjin Medical University Cancer Institute Hospital
NOT_YET_RECRUITINGTianjin, Tianjin Municipality, 300181, China
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Tongji Hospital Tongji Medical College of Hust
NOT_YET_RECRUITINGWuhan, Hubei, 430030, China
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
NOT_YET_RECRUITINGWuhan, Hubei, 430022, China
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West China Hospital Sichuan University
NOT_YET_RECRUITINGChengdu, Sichuan, 610044, China
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Wuxi People's Hospital
NOT_YET_RECRUITINGWuxi, Jiangsu, 214023, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a targeted pill boost lung cancer treatment?
- Herbal mix and cancer drug join forces to fight fluid in lungs
- Researchers test if electronic health records can mimic Gold-Standard cancer studies
- New drug cocktail aims to shrink tough lung cancers
- New antibody injection targets Hard-to-Treat lung cancer in early trial
- New drug cocktail aims to shrink lung tumors in Late-Stage trial